Michigan bill allows nurse practitioners to prescribe without mandatory contracts

A proposed bill aimed at enhancing patient access to care in Michigan has garnered significant support from a diverse coalition of stakeholders, including hospitals, nursing associations, and small businesses. The legislation, which seeks to remove an outdated mandate requiring nurse practitioners (NPs) to secure contracts with physicians to prescribe medications, was discussed during a recent health policy meeting.

Advocates for the bill emphasized that it does not alter the scope of practice for NPs or compromise Michigan's high standards for patient care. Instead, it aims to make these contracts voluntary, allowing qualified NPs to provide care without unnecessary legal barriers. Currently, if a physician revokes a contract, it can strip an NP of their ability to prescribe controlled substances, disrupting patient access to necessary medications.

The bill mirrors existing regulations and maintains that NPs will continue to collaborate with physicians and other healthcare providers, ensuring comprehensive patient care. Proponents highlighted that NPs are already delivering safe, high-quality care across Michigan and have been doing so for decades. They pointed to evidence from 27 states and federal systems that have adopted similar models without safety concerns.

Supporters of the bill argue that it is a practical solution to streamline healthcare delivery, particularly in light of the challenges faced during the COVID-19 pandemic. They assert that removing bureaucratic hurdles will enhance patient access to providers of their choice while maintaining rigorous standards for licensure and prescribing practices.

As the Michigan Legislature considers this bill, the coalition behind it remains optimistic about its potential to improve healthcare access and efficiency across the state.